Valvular Heart Disease USMLE Step 1 Practice Question
A 72-year-old man with a 10-year history of hypertension presents with dyspnea on exertion and chest pain. On examination, he has a sustained apical impulse displaced laterally, and a crescendo-decrescendo systolic murmur at the right upper sternal border that radiates to the carotids. Carotid pulses are weak and delayed. Which of the following is the most likely diagnosis?
Answer choices
- AMitral stenosis
- BAortic regurgitation
- CAortic stenosisCorrect answer
- DTricuspid stenosis
- EMitral regurgitation
- FHypertrophic cardiomyopathy
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